Individual provider Active NPI

Marjorie Chastain, LCSW

  • Clinical Social Worker
  • Delran, NJ
National Provider Identifier
1922531219
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06149700 Issued in NJ
Practice address
1351 Fairview Blvd. Ste a
#1094
Delran, NJ 08075-1475
Phone
(856) 444-5139
NPI assigned
Apr 4, 2017
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06149700 NJ Primary
Clinical Social Worker 1041C0700X CW022844 PA

Addresses

Primary practice location

1351 Fairview Blvd. Ste a
#1094
Delran, NJ 08075-1475

Mailing address

1351 Fairview Blvd Ste a
#1094
Delran, NJ 08075-1475
Phone (856) 444-5139

Other practice location 1

1221 N Church St # 106
Moorestown, NJ 08057-1245
Phone (609) 208-3053

Other names 1

  • Ms. Marjorie Nejman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC06149700NJMDClinical Social Worker
CW022844PAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1922531219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 FAIRVIEW BLVD STE A",
            "address_2": "#1094",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751475",
            "telephone_number": "856-444-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 FAIRVIEW BLVD. STE A",
            "address_2": "#1094",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751475",
            "telephone_number": "856-444-5139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 N Church St # 106",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080571245",
            "country_code": "US",
            "telephone_number": "609-208-3053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASTAIN",
        "first_name": "MARJORIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06149700",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "NEJMAN",
            "prefix": "MS.",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delran, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.